| NPI | 1518830322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIANNA WAGENMAKER Manager Of Administration 346-379-1167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2025-09-26 |
| Last Update Date | 2025-09-26 |